| NPI | 1548300668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00052978) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-07-22 |